My Difficult Patient

The first patients I started as a student nurse at the long-term rehabilitation center were a 72-year old man with C. diff, Alzheimer's disease, hip replacement surgery and obesity. He has many complications due to the above diseases. I still remember his face being hurt with pain. Due to his lack of walking and lack of incontinence, he developed a very terrible decubitus under his cheekbones. I went to the room with my tutor. And that person introduced me as a student nurse at Towson University to his patient, and I will take care of him.

One of my most difficult patients is a retired nurse in the 70s African-American who was previously suffering from severe stroke, left hemiplegia and wheelchair. She has many medical problems such as poorly controlled type 2 diabetes, coronary artery disease, hypertension, hyperlipidemia, generalized anxiety disorder. We are fighting with a recurrent episode of pyelonephritis that leads to hospitalization at all times because she is difficult to maintain a good sanitary condition of neurogenic bladder. She refused to move to a skilled nursing facility and insisted that she wanted to be a complete code. Because she is also my patient, I regret seeing the physical and mental health of her daughter decreasing.

In any clinician's care, difficult patients are fixation devices. Prospective studies found that 15% of patients experienced "difficulties" Application of difficult patient-patient relationship questionnaire suggests that certain patient characteristics are associated with difficult patients It is. O'Dowd explains difficult patients in this way. "All exercises have a sense of" heart "for doctors and staff ... they cause overwhelming confusion. Anger, failure, and sometimes even disgust, exacerbate heart disease. 3

Most patients are in contact with doctors smoothly, but others are not. Most physicians, if not all doctors, will find difficult patients from time to time. Karen Broquet, Associate Professor of Medicine / Psychiatry at the Southern Illinois University Medical School in Connecticut, has one thing in common with patients with difficulties. That is what health care providers can not offer. "It is obvious to the doctor that we can not always meet the needs of patients, but for patients it is not always obvious," she said.